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Although the stage I Norwood procedure is usually the first choice for hypoplastic left heart syndrome (HLHS), a neonatal Norwood operation requires complicated postoperative management, such as delayed sternal closure or prolonged mechanical ventilation, and interstage deaths 1 after stage I Norwood procedures are an issue. Here we report less invasive Fontan completion through a novel strategy consisting of bilateral pulmonary artery (PA) banding for stage I palliation, followed by the Norwood procedure concomitantly performed with bidirectional Glenn shunt (BDG) for stage II palliation for HLHS.

A Fontan completion through stage I bilateral pulmonary artery banding for hypoplastic left heart syndrome